Liquid applicator and method of use

ABSTRACT

An applicator for dispensing uniform thickness layers of liquid to surfaces and especially surgical sealants to surgical sites to create, in situ, a surgical incise drape is disclosed. The applicator employs a supported thin layer of foam which achieves layer thickness which are substantially independent of the pressure applied to the applicator during use. Methods of using the applicator are also disclosed.

CROSS-REFERENCE TO RELATED PATENT APPLICATIONS

This application is an application claiming the benefit under 35 USC119(e) U.S. Application 60/689,696, filed Jun. 10, 2005, incorporatedherein by reference in its entirety.

FIELD OF THE INVENTION

This invention is directed to applicators and methods for applyinguniform layers of liquids. More particularly, in preferred embodimentsit is directed to applicators and methods for applying uniform layers ofskin-adherent polymers to skin to create surgical skin sealant layers orliquid incise drapes.

REFERENCES

The following publications, patent applications and patents came to ourattention:

-   Alexander et al., Development of a Safe and Effective One-Minute    Preoperative Skin Preparation, Arch. Surg., 120:1357-1361 (1985).-   Askill, et al., U.S. Pat. No. 5,730,994, Methods for Draping    Surgical Incision Sites, issued Mar. 24, 1998.-   Berger et al., U.S. Pat. No. 5,998,472, for Mixed Cyanoacrylate    Ester Compositions, issued Dec. 7, 1999.-   Chiu et al., “Plastic Adhesive Drapes and Wound Infection After Hip    Fracture Surgery” Aust. N. Z. J. Surg., 63:798-801 (1993).-   Columbus et al., U.S. Pat. No. 4,444,933, for Adhesive Cyanoacrylate    Compositions with Reduced Adhesion to Skin, issued Apr. 24, 1984.-   Davydov et al., U.S. Pat. No. 4,035,334, for Medical Adhesive,    issued Jun. 12, 1977.-   Greff et al., U.S. Pat. No. 5,665,817, for Cyanoacrylate Adhesive    Compositions, issued Sep. 9, 1997.-   Greff et al., U.S. Pat. No. 5,684,042, for Cyanoacrylate    Compositions Comprising an Antimicrobial Agent, issued Nov. 3, 1997.-   Greff et al., U.S. Pat. No. 6,191,202, for Cyanoacrylate Adhesive    Compositions, issued Feb. 20, 2001.-   Greff, et al., U.S. Pat. No. 5,480,935, for Cyanoacrylate Adhesive    Compositions, issued Jan. 2, 1996.-   Hagen et al., “A Comparison of Two Skin Preps Used in Cardiac    Surgical Procedures,” AORN Journal, 62:393-402 (1995).-   Halpern, U.S. Pat. No. 3,667,472, for Adhesive for Living Tissue,    issued Jun. 6, 1972.-   Hawkins and Fassett, U.S. Pat. No. 3,591,676, for Surgical Adhesive    Compositions, issued Jul. 6, 1971.-   Joyner and Coover, U.S. Pat. No. 2,784,127, for Plasticized    Monomeric Adhesive Compositions and Articles Prepared Therefrom,    issued Mar. 5, 1957.-   Kronenthal et al., U.S. Pat. No. 3,995,641, for Surgical Adhesives,    issued Dec. 7, 1976.-   Masterson, Skin Preparation, Chapter 9, in Surgical Infections,    Diagnosis and Treatment, Meakins, Ed., Scientific American, Inc.,    New York, USA, Publisher, pp. 119-125 (1994).-   McDonnell et al., U.S. Pat. No. 5,530,037, for Sterilized    Cyanoacrylate Adhesive Composition, and a Method of Making Such a    Composition, issued Jun. 25, 1996.-   O'Sullivan et al., U.S. Pat. No. 4,038,345, for High Viscosity    Cyanoacrylate Adhesive Compositions, and Process for their    Preparation, issued Jul. 26, 1977.-   Osuna et al., Comparison of an Antimicrobial Adhesive Drape and    Povidone-Iodine Preoperative Skin Preparation in Dogs, Veterinary    Surgery, 21:458-462 (1992).-   Otake, U.S. Pat. No. 4,958,748, for Adhesive Container/Feeder,    issued Sep. 25, 1990.-   Rabinowitz, U.S. Pat. No. 3,527,224, for Method to Surgically Bond    Tissue Together, issued Sep. 8, 1970.-   Ritter et al., Retrospective Evaluation of an Iodophor-Incorporated    Antimicrobial Plastic Adhesive Wound Drape, Clinical Orthopedics and    Related Research, pp. 307-308 (1988).-   Waniczek et al., U.S. Pat. No. 4,650,826, for Stabilized    Cyanoacrylate Adhesives Containing Bis-trialkylsilyl Esters of    Sulfuric Acid, issued Mar. 17, 1987.

All of the above publications, patent applications, and patents areincorporated herein by reference in their entirety.

STATE OF THE ART

Conventional surgical incise drapes include those which comprise apolymeric film coated with a pressure-sensitive adhesive. In some cases,an antimicrobial agent is incorporated directly into the adhesive tofacilitate a continuous release of the antimicrobial agent onto the skin(Hagen et al., 1995; Ritter et al., 1988). After application of anantimicrobial agent onto the skin surface, the surgical incise drape isapplied, adhesive side down, with pressure to affect adherence of thedrape to the skin. A surgical incision is then made through the drapeand the requisite surgery is performed through this incision. Aftercompletion of the surgery, the drape is conventionally removed from theskin surface.

Notwithstanding the benefits associated with current surgical incisedrapes, several problems exist, which limit the general applicability ofthese drapes and actually increase the risk of infection. The mostcommon and potentially serious problem associated with conventionalsurgical incise drapes is the separation or lifting of the drape, fromthe skin surface, during surgery. In one study, up to 44% of drapesexperienced lifting during human surgery (Osuna et al., 1992). Alexanderet al. (1985) reported a six-fold increase in infection rates inoperations in which the surgical incise drape lifted away from the skinduring surgery, compared to operations in which the drape did notseparate from the skin.

It is known to incorporate antimicrobial agents in the plastic drapingsheet or in the adhesive which is used to adhere to sheet to thesurgical site. Representative antimicrobial adherent drapes are sold by3M under the trademarks Steri-Drape and Ioban 2 Incise Film. MedicalConcepts Development markets an incise film under the trademarkVi-Drape.

Askill, et al., (U.S. Pat. No. 5,730,994, 1998) disclose that the use ofcyanoacrylate prepolymers in the in situ formation of a cyanoacrylatepolymeric drape at the surgical incision site prior to surgery overcomesmany of the prior art problems associated with conventional surgicalincise drapes and additionally provides incremental advantagesheretofore not achieved by conventional drapes.

Greff et al. (U.S. Pat. No. 5,684,042, 1997) have demonstrated thatcertain iodophors can be incorporated into prepolymeric cyanoacrylatecompositions to create stable film forming liquids, wherein the iodophoreffectively provides for antimicrobial activity to the polymer filmformed therefrom.

In these draping processes involving liquid prepolymers it is desirablethat the layer of liquid prepolymer is spread quickly and evenly overthe surgical site.

Foam applicators have been described for paint and adhesives. While lowin cost, foam applicators of the art have presented the disadvantage ofgiving a coating layer of variable thickness. Generally speaking, if afoam applicator has pressure applied to it during use, its deposit isrelatively thicker. If little or no pressure is applied, the layer isrelatively thinner. In surgical settings a consistent thickness would behighly desirable.

STATEMENT OF THE INVENTION

The present invention is directed to an applicator for forming uniformthickness layers of liquid coatings on solid substrates. The applicatoris characterized by controlling the dispensing of liquid throughapertures incorporated within the applicator head. The controlled flowof liquid is passed to a thin layer of liquid-permeable open cell foampositioned over the apertures to spread the liquid into the desireduniform layer. This layer of foam is directly supported by a minimallydeflectable, wide and generally flat support through which the liquidflows to the foam. The use of the thin layer of foam with the minimallydeflectable direct backing support assures that the amount of liquidapplied by the applicator is only minimally dependent upon the pressureapplied to the foam by the user and thus that the layer thickness issubstantially uniform.

While the applicator used in this invention can find use in theapplication of many and diverse liquids, a preferred use for thisapplicator is in the forming of uniform surgical incise drapes out ofsuitable liquid prepolymers. This use and the drapes so formedconstitute additional aspects of this invention.

The applicators of this invention are additionally characterized asproviding the liquids which they apply in one or more sealed containers(ampoules). These sealed containers are ruptured and the containedliquid is released for application. In the applicators of thisinvention, the containers are ruptured by closing together two housingsand in so doing causing a focused container-breaking force to be appliedto the containers within the applicator in an area adjacent to theliquid release apertures. This focusing of the rupturing force can beaccomplished by means of plates or fingers traversing along ramps orridges which deflect the fingers to converge on the containers' sides atthe point where the rupture is desired.

Thus, in one embodiment this invention provides an applicator forforming a uniform thickness layer of a liquid coating. This applicatorincludes:

-   -   A housing having a first end and a second end defining an inner        cavity. The first end of the housing terminates in a generally        flat minimally deflectable widened region with one or more        liquid delivery apertures in liquid communication between the        inside of the cavity and the exterior of the generally flat        widened region.    -   A thin layer of liquid permeable-foam is conformed (stretched)        over the exterior of the generally flat widened region and        covering and in liquid communication with the liquid delivery        apertures and affixed in that position.    -   One or more sealed frangible containers filled with coating        liquid are contained and movable from a first position to a        second position within the first housing. The first position        preserves the integrity of the frangible containers and the        second position is such that when the one or more containers are        moved from the first position to the second position, a focused        frangible-container-breaking force is applied to the containers        and the coating liquid is released from the frangible containers        and passes through the liquid delivery holes into the thin layer        of liquid-permeable foam.    -   The applicator additionally includes means for moving the one or        more containers from the first position to the second position.        These means for moving are positioned at the second end of the        first housing. These means can take the form of a second housing        which slidably engages the first housing and is sized and shaped        to accommodate and hold the one or more containers of liquid. In        the preferred embodiments, this second housing and especially        the portion of the housing which holds the one or more liquid        containers includes the means for focusing the        container-breaking force on the one or more containers.

In another aspect this invention provides a method for forming asubstantially uniform thickness coating of a liquid coating on asubstrate. This method includes the following steps:

-   -   Obtaining an applicator as just described with the coating        liquid contained within the applicator's one or more frangible        containers.    -   Moving the one or more containers from a first position to a        second position within the applicator, thereby applying a        focused container-breaking force to the one or more frangible        containers and releasing the liquid from the containers.    -   Flowing the liquid from the containers and through the        applicator's liquid delivery apertures to its layer of        liquid-permeable foam.    -   Contacting the liquid-containing layer of liquid-permeable foam        with the substrate and moving the applicator across the        substrate in a direction generally perpendicular to the wide        dimension of the generally flat widened region of the first        housing of the applicator thereby causing liquid to pass through        the liquid delivery apertures, through the supported thin layer        of liquid-permeable foam and then to form a substantially        uniform thickness layer on the substrate.

In yet another aspect this invention provides the uniform coatings, suchas surgical drapes, which may be formed using this applicator and thismethod.

BRIEF DESCRIPTION OF THE DRAWINGS

This invention will be further described with reference to the attacheddrawings in which:

FIG. 1 is a perspective downward-looking elevational view of anapplicator of this invention;

FIG. 2 is an exploded view of the applicator of FIG. 1 showing itsinternal structure and the working relationship among its major parts;

FIG. 3 is a top plan view of the applicator of FIG. 1 with the topsection of its main housing removed to further show the relationshipbetween the main housing and the movable second housing;

FIGS. 4A and 4B are a pair of partially cut away side elevational viewsof an applicator of this invention, showing the path taken by the liquidas it is released and flows from the applicator;

FIG. 5 is a schematic elevational view of the front portion of anapplicator of this invention showing the shape of the liquidflow-spreading foam layer conformed over the relatively thin, relativelywide backing support; and

FIG. 6 is a horizontal cross-sectional view detailing the attachment ofthe liquid flow-spreading foam layer to the front end of the applicator.

DESCRIPTION OF PREFERRED EMBODIMENTS

Turning to the figures, an applicator 10 is shown. Applicator 10includes a first housing 12. Housing 12 is typically two cooperatingparts, top 12A and bottom 12B which snap together or more commonly areglued are fused into a single housing 12 during production of theapplication care. Housing 12 has a first (“front”) end 14 and a second(opposite or “rear”) end 16. First end 14 terminates in a generally flatwidened region 18 having a height “H” and a width “W”. As shown in FIG.5, H and W are selected to provide an aspect ratio W:H of from about 2:1to about 10:1 and especially from about 2.5:1 to about 8:1 and moreespecially from about 3:1 to about 6:1.

As shown most clearly in FIGS. 1 and 3, region 18 is covered with aconforming thin layer 20 of foam. This is a liquid-permeable (opencelled) foam ranging in thickness from about 0.25 mm to about 5 mm andespecially from about 0.50 mm to about 3 mm. The layer of foam may beadhered to region 18 but can also be merely conformed to exteriorcontours of region 18. The thin layer of foam can be molded to conformto region 18 or it can be a sheet of foam material drawn over the region18 so as to conform to it. The layer 20 of foam may be held in place byretainer ring 21 which can also hold or assist in holding the twosections 12A and 12B of housing 12 together, if needed. Retainer teeth23 help grip the foam layer 20 and hold it in position covering the flatarea 18 at the front end 14 of the applicator.

Region 18 is relatively rigid (minimally deflectable) and provides afirm backing for foam layer 20. In view of this relative rigidity, inuse region 18 does not deflect substantially, for example more than onemm or two mm under the pressure of routine application. The first end 14of housing 12 and its region 18 are liquid-impermeable except for theend of region 18 which contains one or more apertures (holes) 22 inliquid communication between the interior 24 of housing 12 and the foamcover 20. In FIGS. 2 and 3, three holes 22A, B and C are shown. Anynumber of holes such as from 2 to 10, for example, may be employed.However, it should be kept in mind that the number and size of theseholes can have a flow rate-controlling effect and can control the amountof liquid passed to the foam layer 20 and applied with the applicator10. It is generally desirable to space the holes across the width “W” ofregion 18 to provide a uniform flow of liquid to the foam layer acrossthe width of the applicator. Alternatively and equivalently, a porousregion at the 18 portion of the housing could provide the same liquidrelease function as long as the region 18 retains its relatively rigidfoam-supporting properties.

The applicator includes a second housing 26 which slidably engages thesecond end 16 of first housing 12. As can be seen by comparing FIG. 1and FIG. 3, second housing 26 can move relative to first housing 12 froman “open” position (FIG. 3) to a “closed” position (FIG. 1) by slidinghousing 26 in direction D (See FIG. 3) relative to housing 12's fixedposition. Although shown only generally in the drawings, the twohousings 12 and 26 may, and in most cases will, contain various latchesand detents to control their movement relative to one another. Theselatches and detents can serve to bias the housings into the fully openand fully closed positions so as to prevent housing 26 inadvertentlyseparating completely from housing 12, and to prevent housing 26prematurely moving from a fully “open” position relative to housing 12or returning to an “open” position after the applicator has beenactivated by moving housing 26 to the “closed” position.

As shown in FIGS. 2 and 3, housing 12 is sized to accommodate one ormore liquid containers 30A, 30B and 30C. These containers areconstructed of a frangible liquid-impermeable material such as glass,brittle plastic, flexible plastic film or the like. Three containers areshown in these Figs. It will be appreciated that the present applicatorwill work with fewer (one or two) or more (four, five or more)containers.

Housing 26 includes a container-receiving region 32 into which the oneor more liquid containers 30 are fitted. Region 32 is depicted as pairsof opposing fingers 34 and 36 which grip the one or more frangiblecontainers 30 and hold them in place relative to housing 26.

In operation, one or more containers 30 are mounted in region 32 ofhousing 26. Then housing 26 is slid into engagement with housing 12. Inthe “open” position of FIG. 4A the containers 30 are intact. To releasethe liquid from containers 30, housing 26 is moved in direction D,relative to housing 12. This causes containers 30 or, more preferably,fingers 34 and 36 to come into contact with ramps 40 in housing 12 andapply a container-breaking force to a predetermined region of thecontainers 30 and housing 26 is pushed further into housing 12 as shownin FIG. 4B.

The nature of the “container breaking” (container rupturing) will to atleast some extent be a function of the material of construction of thecontainers. In the case of a glass or brittle plastic container, thecontainer breaking will be a focused cracking or focused shattering of apredetermined area of the container. In the case of a flexible filmcontainer, the container breaking will be a focused puncturing ortearing or penetrating of a predetermined region of the container wall.

The rupture of the containers 30 should be predirected to occur at thefirst end 14 of housing 12 such that the liquid released from containers30 can conveniently and directly enter volume 24 and pass through holes22 to foam layer 20 for delivery to the solid substrate. The rupturingof the containers at this position can be directed by applying a focusedforce to the containers at the desired position of rupture with aforce-focusing sharp corner, ridge, pin or projection on the ramps 40 oron one or both of fingers 34 and 36 as previously described.

The liquid released from the containers is contained within chamber 24by walls 25A and 25B for passage through holes 22. The bottom surface ofchamber 24 slopes upward toward holes 22 to create a weir. Liquidreleased from containers 30 passes up and over the weir. Containershards are less likely to pass over the weir and are retained in chamber24. In addition, the flat surface of region 18 can be equipped with aseries of barriers or pegs 27 which can pass liquid but hold back anyshards and prevent them from being released inadvertently through holes22. It is always a good idea to not have liquid leaking out of chamber24 between housings 12 and 26. To that end, it is generally desirable toplace a seal 42 between housing 12 and housing 26 as shown in FIG. 3 tocontain the liquid within the applicator and restrict its exit to thespecific exit holes 22.

APPLICATIONS

While the applicator of the invention can be used to apply consistentthickness layers of liquids in many applications, the preferredapplication for which it was created is the application of surgicalsealants to form surgical incise drapes in situ.

The liquid materials favored for forming such surgical incise drapes areliquids containing cyanoacrylate prepolymers.

In situ polymerization of such cyanoacrylate compositions provides foran adherent polymeric film over the surgical incision site, which actsas a surgical incise drape during surgery. The adherence of thepolymeric film to the skin surface is sufficiently strong to effectivelypreclude the possibility of lifting the drape from the skin duringsurgery. Additionally, the cyanoacrylate composition can be applied as aliquid to the skin surface which permits formation of an adherent filmover any skin contour, including but not limited to, elbows, knees,hips, and the like.

An antimicrobially-effective amount of an antimicrobial iodophor or thelike in the cyanoacrylate composition may provide significantenhancements in the effectiveness of the composition as well.

Since the polymeric film is naturally shed from the skin surface two tofour days following application, there is no need to effect removal ofthe drape following surgery, therefore avoiding the skin traumaassociated with conventional drape removal. Moreover, the addition ofantimicrobial agents to the cyanoacrylate composition results in thegradual release of antimicrobial from the polymerized cyanoacrylatecomposition, providing antimicrobial a level protection forpost-surgical infection that is currently unavailable with conventionaldrapes.

Accordingly, the applicator can be used in this highly desirableapplication for forming a surgical incision drape at a surgical incisionsite of a patient as follows:

(a) defining a surgical incision site of a patient;

(b) using the applicator of this invention to apply a layer of a liquidcyanoacrylate composition onto skin at the surgical incision site, whichlayer is consistent in thickness and of a thickness to cover thesurgical incision site with the cyanoacrylate composition and

(c) polymerizing this cyanoacrylate composition to form a flexible,waterproof, surgical incision drape which adheres to the surgicalincision site where the cyanoacrylate composition was applied thereafterpermitting the applied liquid layer to form an adherent solid surgicalincise drape.

The cyanoacrylate composition which finds preferred application usingthe applicator of this invention comprises a cyanoacrylate ester, which,in monomeric form, is represented by formula I:

wherein R is selected from the group consisting of:

-   -   alkyl of 1 to 10 carbon atoms,    -   alkenyl of 2 to 10 carbon atoms,    -   cycloalkyl groups of from 5 to 8 carbon atoms,    -   phenyl,    -   2-ethoxyethyl,    -   3-methoxybutyl,    -   and a substituent of the formula:

wherein each R′ is independently selected from the group consisting of:hydrogen and methyl, and R″ is selected from the group consisting of:

-   -   alkyl of from 1 to 6 carbon atoms,    -   alkenyl of from 2 to 6 carbon atoms,    -   alkynyl of from 2 to 6 carbon atoms,    -   cycloalkyl of from 3 to 8 carbon atoms,    -   aralkyl selected from the group consisting of benzyl,        methylbenzyl and phenylethyl,    -   phenyl, and

phenyl substituted with 1 to 3 substituents selected from the groupconsisting of hydroxy, chloro, bromo, nitro, alkyl of 1 to 4 carbonatoms, and alkoxy of from 1 to 4 carbon atoms.

Preferably, in the cyanoacrylate esters of formula I, R is alkyl of from2 to 10 carbon atoms and more preferably alkyl of from 2 to 8 carbonatoms. Even more preferably, R is butyl, pentyl or octyl or a mixture ofbutyl and octyl (e.g., 2-ethylhexyl) and most preferably R is n-butyl.

In preferred embodiments, the cyanoacrylate composition may contain fromabout 0.01 to about 5 weight-percent antimicrobial.

In preferred embodiments, the layer of liquid cyanoacrylate laid down bythe applicator has a thickness of no more that about 1 millimeter andyields a polymerized cyanoacrylate composition layer that has athickness of no more than about 1 millimeter. More preferably, thepolymer layer and the liquid layer have a uniform thickness of fromabout 2 to about 500 μm. Still more preferably, the layers have athickness of from about 20 to about 100 μm.

The cyanoacrylate adhesive compositions employed in the applicator ofthis invention may contain, in addition to a polymerizable cyanoacrylatecomponent and the optional antimicrobial in an amount sufficient toprovide effective antimicrobial activity as already described,polymerization inhibitors, in amounts sufficient to provide inhibitionor retardation of polymerization prior to the use of the composition,and/or biocompatible plasticizer components, in an amount sufficient toprovide enhanced flexibility for the resulting film coating formed bypolymerization of the cyanoacrylate adhesive composition.

In one version of the cyanoacrylate adhesive composition, thecomposition comprises:

(a) a polymerizable cyanoacrylate ester;

(b) about 0.01 to about 5 weight percent antimicrobial based on thetotal weight of the composition;

(c) about 100 to about 3,500 ppm of polymerization inhibitors; and

(d) optionally from about 10 to about 30 weight percent based on thetotal weight of the composition of a biocompatible plasticizer.

In preferred embodiments of the invention, the cyanoacrylate compositionis applied onto the surface of intact skin and the incision is madesubsequent to formation of the surgical incision drape. More preferably,the intact skin is further characterized as lacking pre-existing sitesof infection, open wounds, scabs, sun damage, etc., which would permitthe polymer to penetrate from the surface of the epidermis to or beyondthe dermal layer. Notably, while these and other skin conditions mayreduce the performance of the surgical drape of the instant invention,they do not necessarily preclude use of the surgical drape on such skin.

The surgical protocol in which the applicator is used preferablyinvolves skin preparation prior to in situ formation of thecyanoacrylate polymer surgical drape over the surgical incision site. Inone embodiment of the invention, the skin is cleansed to remove dirt andoils. The patient's skin may be cleansed and/or scrubbed with milddetergents, antimicrobial soaps, alcohol, or other compositionsroutinely used to clean wounds or prepare skin for surgery. Othercleansing or sanitizing compositions may be used, with the proviso thatthe cleaning and/or scrubbing compositions do not interfere withpolymerization of the cyanoacrylate composition, once applied. The skinsurface will typically be dried after cleansing and/or scrubbing.

The surgical incision site is optionally dried and then an adherentpolymeric surgical incision drape is formed over this site by rupturingone or more containers of cyanoacrylate adhesive based sealant in anapplicator of this invention and thereafter, using the applicator,applying the cyanoacrylate adhesive composition to the intact skinsurface at the surgical incision site. The polymerizable cyanoacrylateprepolymers polymerize in situ to form a cyanoacrylate polymer film uponcontact with the surface skin moisture, tissue protein, etc.

Polymerization occurs at ambient skin temperature while maintaining theskin surface under suitable conditions to allow polymerization toproceed. In general, the length of time required for polymerization willvary depending on factors such as the amount of adhesive compositionapplied, the temperature of the skin, the moisture content of the skin,the surface area of skin to which the adhesive was applied, and thelike. However, polymerization is typically complete within about 10 toabout 60 seconds, while the skin is maintained at ambient conditions.During this period, the patient is maintained in a position whichpermits the cyanoacrylate to polymerize and form a polymeric surgicalincise drape, while minimizing patient movement that might dislodge thecyanoacrylate composition from that surgical incision site, or cause thecyanoacrylate composition to spread beyond the intended surgicalincision site.

After polymerization, the resulting polymeric film forms a surgicalincision drape which strongly adheres to the skin, is flexible andwaterproof. Such strong adherence effectively eliminates the possibilitythat the surgical drape will lift away from the patient's skin duringsurgery. However, notwithstanding such strong adherence, the polymericfilm defining the surgical drape will adhere to the skin for a period ofabout two to four days, after which time it sloughs off. This occursbecause the cyanoacrylate polymer adheres only to the uppermost portionof the epidermal layer, which is continuously in the process of beingsloughed off and replaced by the underlying cells. Accordingly, thecyanoacrylate surgical drape need not be removed in the manner ofconventional surgical drapes, thereby eliminating the skin traumaassociated with the removal of conventional surgical drapes.

It will be appreciated that while specific embodiments of thisapplication have been described in detail this is not to be construed aslimiting the scope of the invention which as defined by the appendedclaims.

1. An applicator for forming a uniform thickness layer of a liquidcoating on a solid substrate comprising: a first housing having a firstend and a second end and defining an inner cavity, the first end of thehousing terminating in a generally flat widened region with one or moreliquid delivery passages in liquid communication between the inside ofthe cavity and the exterior of the generally flat widened region, a thinlayer of liquid-permeable foam conformed over the exterior of thegenerally flat widened region said thin layer of foam covering and inliquid communication with the liquid delivery passages and retained inthat position, one or more sealed frangible containers filled with thecoating liquid and located within the inner cavity and movable from afirst position to a second position therein, the first positionpreserving the integrity of the frangible containers and the secondposition being such that when the one or more containers are moved fromthe first position to the second position, afrangible-container-breaking force is applied to the containers and thecoating liquid is released from the frangible containers and passesthrough the liquid delivery passages into the thin layer ofliquid-permeable foam, a closure for sealing the second end of the firsthousing, and a movable fixture capable of moving the one or morecontainers from the first position to the second position within theinner cavity.
 2. The applicator of claim 1 containing a single sealedfrangible container.
 3. The applicator of claim 1 containing two orthree sealed frangible containers.
 4. The applicator of claim 1 whereinthe fixture for moving the one or more containers is a second housingwhich engages the first housing and moves the one or more containerstoward the first end of the first housing where they come into contactwith means for applying a frangible-container-breaking pressure to them.5. The applicator of claim 1 wherein the closure is a second housing insealable engagement with the first housing.
 6. The applicator of claim 4wherein the closure is the second housing in sealable engagement withthe first housing.
 7. The applicator of claim 1 wherein thefrangible-container-breaking force is a focused force applied to the oneor more containers in a position adjacent to the liquid deliverypassages.
 8. The applicator of claim 7 wherein the focused force isapplied to the one or more containers through force focusing means. 9.The applicator if claim 6 wherein the sealable engagement of the firstand second housings contains the liquid released from the frangiblecontainers such that its only passage out of the first and secondhousings is through the liquid delivery passages.
 10. The applicator ofclaim 1 additionally comprising a retaining ring retaining the thin foamlayer onto the exterior of the generally flat widened region of thefirst housing.
 11. The applicator of claim 10 additionally comprisingretainer teeth to grip the foam layer and hold it in position relativeto the retaining ring and to the exterior of the generally flat widenedregion of the first housing.
 12. The applicator of claim 1 wherein thegenerally flat widened region of the first housing has an aspect ratio(width:height) of from about 2:5:1 to about 8:1.
 13. The applicator ofclaim 1 additionally comprising shard retainers located in the path ofliquid communication between the inside of the cavity and the liquiddelivery passages in the exterior of the generally flat widened region,which shard retainers are capable of retaining shards of the frangiblecontainers within the cavity and preventing their passage through theliquid delivery passages.
 14. A method for forming a substantiallyuniform thickness coating of a liquid coating on a substrate comprising:obtaining the applicator of claim 1 with the liquid contained within theone or more frangible containers, moving the containers from said firstposition to said second position, thereby releasing the liquid from thecontainers, and flowing f the liquid through the liquid deliverypassages to the layer of liquid permeable foam, contacting the layer ofliquid permeable foam with the substrate and moving the applicatoracross the substrate in a direction generally perpendicular to the widedimension of the generally flat widened region of the first housingthereby causing liquid to pass through the liquid delivery passages,through the liquid permeable foam and then to form a substantiallyuniform thickness layer on the substrate.
 15. The method for forming asubstantially uniform thickness nonliquid polymer coating on a substratecomprising: selecting a prepolymer solution capable of forming thedesired nonliquid coating, performing the method of claim 14 with theselected prepolymer solution as the liquid contained within the one ormore frangible containers, and thereafter allowing the substantiallyuniform thickness layer of liquid so formed to solidifying into anonliquid polymer coating.
 16. The method of claim 15 wherein theprepolymer solution comprises cyanoacrylate.
 17. The method of claim 16wherein the prepolymer solution comprises antimicrobial agent.
 18. Thesubstantially uniform thickness nonliquid polymer coating formed by themethod of claim
 16. 19. The substantially uniform thickness nonliquidpolymer coating of claim 18 wherein the substrate is a surgical site andwherein the coating is a surgical incise drape.